14D2056829 CLIA NUMBER - WALGREENS #10148

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Laboratory Demographics

CLIA Number: 14D2056829

Facility Name: WALGREENS #10148

Facility Address:
6S235 STEEPLE RUN DR
NAPERVILLE, IL
ZIP 60540
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Facility Phone Number: 630 717-9333

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1982619110

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	14D2056829
LAB Type	Pharmacy
Facility Name	WALGREENS #10148
Street	6S235 STEEPLE RUN DR
City	NAPERVILLE
State	IL
ZIP	60540
Phone	630 717-9333
CertificateType	4
CertificateEffectiveDate	6/22/2023
CertificateExpirationDate	6/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024